Healthcare Provider Details

I. General information

NPI: 1710818414
Provider Name (Legal Business Name): BRADY CLARK PHARMD, BCPS, BCCCP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 HUBERT WILLIAMS RD
JUDSONIA AR
72081-9164
US

IV. Provider business mailing address

221 HUBERT WILLIAMS RD
JUDSONIA AR
72081-9164
US

V. Phone/Fax

Practice location:
  • Phone: 501-279-4818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License NumberPD15438
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: